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Gene polymorphism association studies in cluster headache: A field synopsis and systematic meta-analyses
Sarah Cargnin1, Grazia Sances2, Jae Il Shin3
1Department of Pharmaceutical Sciences and Interdepartmental Research Center of Pharmacogenetics and Pharmacogenomics (CRIFF), University of Piemonte Orientale "A. Avogadro", Novara, Italy.
Headache
|July 26, 2021
Summary
This study found no significant genetic associations for cluster headache (CH) susceptibility or triptan response. Further large-scale studies are needed to identify reliable genetic variants for CH.
Area of Science:
- Neuroscience
- Genetics
- Pharmacogenomics
Background:
- Cluster headache (CH) susceptibility and treatment response have been investigated for genetic determinants, but findings are often conflicting.
- A comprehensive quantitative summary of evidence in this field is lacking.
- Previous genetic studies on CH have yielded inconsistent results, necessitating a systematic review and meta-analysis.
Purpose of the Study:
- To systematically review and quantitatively summarize the evidence for genetic determinants of cluster headache (CH) susceptibility and treatment response.
- To identify reliable genetic variants associated with CH risk and response to triptan therapy.
- To provide a quantitative assessment of the genetic associations reported in the literature.
Main Methods:
- A systematic literature search was conducted across major databases (PubMed, Web of Knowledge, Cochrane Library, OpenGrey) up to December 2020.
- Meta-analyses were performed for gene polymorphisms investigated in at least two studies.
- The Bayesian false discovery probability (BFDP) test was used to assess the credibility of observed genetic associations.
Main Results:
- Out of 27 identified articles, 17 studies evaluating 12 single nucleotide polymorphisms (SNPs) were included in the quantitative analysis.
- No significant association with CH risk was found for 10 SNPs, including several in HCRTR2, ADH4, and CLOCK.
- While HCRTR2 rs9357855 and GNB3 rs5443 showed potential associations with CH risk and triptan response, respectively, the BFDP values indicated a lack of noteworthy results.
Conclusions:
- Current evidence does not support significant associations between the investigated SNPs and cluster headache (CH) susceptibility or treatment response.
- Well-designed genome-wide association studies (GWASs) and large replication studies are crucial for identifying reliable genetic variants in CH.
- Further research is needed to elucidate the genetic underpinnings of CH and guide personalized treatment strategies.
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